Individual provider Active NPI

Agnes Sobieraj, DC

  • Chiropractor
  • New City, NY
National Provider Identifier
1598730400
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0030201 Issued in NY
Practice address
14 Tor Terrace
New City, NY 10956-2217
Phone
(845) 634-0504
Fax
(845) 634-0504
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0030201 NY Primary
Chiropractor 111N00000X X30201 NY

Addresses

Primary practice location

14 Tor Terrace
New City, NY 10956-2217

Mailing address

14 Tor Terrace
New City, NY 10956-2217
Phone (845) 634-0504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0030201NYMDChiropractor
X30201NYMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1598730400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 TOR TERRACE",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562217",
            "telephone_number": "845-634-0504",
            "fax_number": "845-634-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 TOR TERRACE",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562217",
            "telephone_number": "845-634-0504",
            "fax_number": "845-634-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBIERAJ",
        "first_name": "AGNES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0030201",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X30201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.